Conclusions
Our result shows the incidence of adhesion at the secondary CS is
minimal or nonexistent and use of adhesion barriers at primary CS does
not significantly reduce adhesion, shorten the time needed for neonate
delivery, and improve surgical outcome at repeat CS. In contrast, use of
adhesion barrier films during emergency CS or in a woman having labor
before operation is associated with a significantly higher risk of
postcesarean fever which potentially means increased risk of SSI.
Therefore, we don’t suggest routine application of adhesion barrier
films during cesarean deliveries especially in emergency CS or in a
woman having labor before operation.
Abbreviations: CS (cesarean section), BMI (body mass index),
American Society of Anesthesiologists (ASA), surgical site infection
(SSI), hyaluronic acid/carboxymethylcellulose (HA-CMC), oxidized
regenerated cellulose (ORC), Food and Drug Administration (FDA), urinary
tract infection (UTI)